Active NPI
Joseph Q Henkle, M.D.
- Pulmonary Disease Physician
- Springfield, IL
National Provider Identifier
1629066477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036072889
- Practice address
- 751 N Rutledge St Ste 2100
Springfield, IL 62702-4968 - Phone
- (217) 545-8000
- Fax
- (217) 545-4734
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036072889 | IL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036072889 | IL | |
| Internal Medicine Physician | 207R00000X | 036072889 | IL |
Addresses
Primary practice location
751 N Rutledge St Ste 2100
Springfield, IL 62702-4968
Mailing address
PO Box 19636
Springfield, IL 62794-9636
Phone (217) 545-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036072889 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1629066477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19636",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949636",
"telephone_number": "217-545-8000",
"fax_number": "217-545-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N RUTLEDGE ST STE 2100",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024968",
"telephone_number": "217-545-8000",
"fax_number": "217-545-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKLE",
"first_name": "JOSEPH",
"middle_name": "Q",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036072889",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": "036072889",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036072889",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072889",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.